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Dr. Stacey Faith Jackson, DO
Student in an Organized Health Care Education/Training Program in New Hyde Park, New York
NPI 1205539640

Stacey Faith Jackson is a Student in an Organized Health Care Education/Training Program based in New Hyde Park, NY. Stacey Faith Jackson practices in New Hyde Park, NY and has the professional credentials of DO. The NPI Number for Stacey Faith Jackson is 1205539640 and holds a License No. (New York).

The current practice location address for Stacey Faith Jackson is 26901 76Th Ave, New Hyde Park, NY and can be reached out via phone at 718-470-8284.

Location: 26901 76Th Ave, New Hyde Park, NY, 11040-1433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205539640
Provider Name
Stacey Faith Jackson
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
26901 76Th Ave, New Hyde Park, NY, 11040-1433
Phone Number
718-470-8284
Fax Number
Provider Enumeration Date
03/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26901 76Th Ave
City
New Hyde Park
State
New York
Zip
11040-1433
Phone Number
718-470-8284
Fax Number
person
Provider Business Mailing Address Details
Address
26901 76Th Ave
City
New Hyde Park
State
New York
Zip
11040-1433
Phone Number
718-470-8284
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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